Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN0009627 | FL |
NPI | 1023156247 |
---|---|
Provider Name | Gregory G Hill |
First Address | Fort Myers, FL 33907-7531 |
Second Address | Fort Myers, FL 33907-7531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |